The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.
Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

PROPOSED AMENDMENT -

20 CSR 2230-2.010 [Application for] Licensure by Examination
This proposed amendment updates information relating to the board and streamlines the requirements and procedures for obtaining a podiatry license by examination.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED RULE -

20 CSR 2230-2.015 Military Training to Meet Requirements for Licensure
This rule requires the board to accept evidence of military education, training, or service to be applied toward the requirements for licensure.

PUBLIC COST:  This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED RULE -

20 CSR 2230-2.032 Reactivation of Inactive License
This rule establishes the procedures for renewing an inactive license to active status pursuant to sections 330.095 and 330.160.5, RSMo.

PUBLIC COST:  This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED AMENDMENT-

20 CSR 2230-2.035 Exemption from License Renewal Requirement for Active Duty Military and Stay of Administrative Actions Against a Licensee Serving on Active Military Duty
To provide the process for a licensee on active duty military service to request waiver of renewal requirements and also to set forth requirements for stay of administrative actions against any license while the licensee serves active military duty.

PUBLIC COST:  This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rule will cost private entities approximately three thousand thirty-two dollars ($3,032) in the aggregate over the life of the rule.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED RULE -

20 CSR 2230-2.036 Waiver of Requirement for Continuing Education for National Guard and Reservists
To provide the process for a licensee called to active duty in the military to request waiver of continuing education requirements.

PUBLIC COST:  This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED AMENDMENT -

20 CSR 2230-2.050 Licensure by Reciprocity
The proposed amendment restructures the existing regulation and removes from requirements, streamlining the application process.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED RULE -

20 CSR 2230-2.055 Issuance of Temporary Courtesy License to Nonresident Military Spouse
This rule states the requirements and procedures for a nonresident spouse of an active duty member of the military who is transferred to this state in the course of the member’s military duty to obtain a temporary courtesy license to practice podiatric medicine for one hundred eighty (180) days.

PUBLIC COST: This proposed rule will increase the fund for the Missouri State Highway Patrol by approximately forty-one dollars and seventy-five cents ($41.75) biennially for the life of the rule.  It is anticipated that the increase will recur for the life of the rule, may vary with inflation, and is expected to increase at the rate projected by the Legislative Oversight Committee.

PRIVATE COST: This proposed rule will cost private entities fifty-one dollars and seventy-five cents ($51.75) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED RULE -

20 CSR 2230-2.065 Temporary Licenses for Internship/Residency
This rule is being amended to restructure the existing regulation and streamline the application process.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED AMENDMENT -

20 CSR 2230-2.070 Fees
This amendment combines some fees to simplify the fee structure for applicants and adds a reinstatement fee.

PUBLIC COST: This proposed amendment will increase revenue for the State Board of Podiatric Medicine by three hundred twenty-five dollars ($325) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

PRIVATE COST: This proposed amendment will cost private entities three hundred twenty-five dollars ($325) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration Podiatry

PROPOSED AMENDMENT -

20 CSR 2165-1.030 Custodian of Public Records
This amendment clarifies the policy in compliance with Chapter 610, RSMo, regarding the release of information on meetings, records or vote of the Board.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT -

20 CSR 2165-2.020 Supervisors
This amendment clarifies the responsibilities of and requirements of a registered supervisor.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT -

20 CSR 2165-2.030 Licensure by Examination
This amendment clarifies the requirements for obtaining a hearing instrument specialist license by examination.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT -

20 CSR 2165-2.035 Issuance of Temporary Courtesy License to Nonresident Military Spouse
This rule states the requirements and procedures for a nonresident spouse of an active duty member of the military who is transferred to this state in the course of the member’s military duty to obtain a temporary courtesy license to practice as a hearing instrument specialist for one hundred eighty (180) days.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will cost private entities thirty-five dollars and ninety-eight cents ($35.98) triennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT -

20 CSR 2165-2.065 Renewal of Licenses for Military Members
This rule sets forth the procedure for renewal of a license held by a licensee on active military duty and for discipline of a license held by a licensee on active military duty.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT -

20 CSR 2165-2.070 Public Complaint Handling and Disposition Procedure
This amendment clarifies the complaint procedure.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT -

20 CSR 2165-3.010 General Obligations of the Licensee
This amendment clarifies the professional and ethical obligations of licensed hearing instrument specialist and hearing instrument specialist in training.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT -

20 CSR 2165-3.020 Deceptive Practices
This amendment protects the public by providing clarification of what is unfair and deceptive practices.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT -

20 CSR 2165-3.030 Medical Clearance and Waivers
This amendment explains the requirements and responsibilities of licensee’s and how a licensee should represent him/herself to the public.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Hearing Instrument Specialists

PROPOSED AMENDMENT-

20 CSR 2267-1.010 Definitions
This amendment adds the definition of “apprentice” and redefines “owner/operator.”

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-1.020 Name, Telephone, and Address Changes
This amendment adds a telephone number to the list of contact information a licensee shall keep updated with the division.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-1.030 Tattoo, Body Piercing, and Branding Establishment—Change of Name, Owner/Operator, or Location
This amendment changes the requirements relating to notifying the division of a change of name, owner/operator, or location. This amendment also outlines the requirements for deleting or adding a co-owner.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-2.010 Licenses
This amendment clarifies that an apprentice can practice tattoo, body piercing, and/or branding without a practitioner license. The amendment also adds language regarding verification of licensure, certification, registration, or permit from other states, United States territories, provinces, or countries.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities approximately one hundred dollars ($100) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-2.020 Fees
This amendment establishes a fee for temporary courtesy licenses for non-resident military spouses authorized by section 324.008, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.  It will increase the revenue by thirty-five thousand one hundred fifty dollars ($35,150) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

PRIVATE COST: This proposed amendment will cost private entities approximately thirty-five thousand one hundred fifty dollars ($35,150) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-2.030 License Renewal
This amendment inserts the correct statutory reference in section (1) and adds language which allows the holder of an establishment license to renew within two (2) years of their establishment license expiring.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities one hundred thirty-two dollars and thirty cents ($132.30) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED RULE

20 CSR 2267-2.034 Issuance of Temporary Courtesy License to Nonresident Military Spouse
This rule states the requirements and procedures for a nonresident spouse of an active-duty member of the military who is transferred to this state in the course of the member’s military duty to obtain a temporary courtesy license to practice for one hundred eighty (180) days.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will cost private entities twelve dollars and ninety-eight cents ($12.98) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-3.010 Tattoo, Body Piercing and Branding Establishments
The amendment clarifies that establishment records should be kept where inspectors can gain reasonable access and adds new language that refusal to grant an inspection shall be grounds for discipline or denial.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-4.010 Temporary Establishment License
This amendment further defines the operation and facility requirements of a temporary establishment.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-5.010 Standards of Practice
This amendment corrects statutory references and removes the restriction on alcoholic beverages under section (3).

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2267-5.040 Preparation and Care of Site
This amendment corrects the statutory reference in section (1).

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Tattoo

PROPOSED AMENDMENT-

20 CSR 2233-1.010 Committee Information—General Organization
This amendment clarifies state committee organization and administrative duties.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED RESCISSION

20 CSR 2233-1.020 Policy for Release of Public Records
The rule is being rescinded to eliminate duplicative language.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescisison will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-1.030 Complaint Handling and Disposition
This amendment clarifies the public complaint procedure.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-1.050 Name and Address Changes
This amendment clarifies requirements to update licensure information.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-2.010 Educational Requirements
This amendment clarifies the educational requirements for provisional licensure and licensure as a marital and family therapist.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-2.020 Supervised Marital and Family Work Experience
This amendment defines the requirements for distance supervision.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-2.021 Registered Supervisors and Supervisory Responsibilities
This amendment clarifies the number of individuals a licensee may supervise.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-2.030 Application for Licensure
This amendment clarifies the requirements for submitting an application for licensure.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-2.040 Examination Requirements
This amendment sets out the responsibilities of an examination candidate.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-2.050 Renewal of License
This amendment clarifies the requirements for renewing a license.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED AMENDMENT-

20 CSR 2233-3.010 General Principles
This amendment rescinds unnecessary regulatory language.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration Marital and Family Therapists

PROPOSED RULE-

20 CSR 2220-2.995 Board Approved Pilot and Research Projects
This rule establishes application requirements and criteria for pilot projects authorized by section 338.143, RSMo.

PUBLIC COST:  This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rule will cost private entities approximately three thousand thirty-two dollars ($3,032) in the aggregate over the life of the rule.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration - Pharmacy

EMERGENCY RULE

20 CSR 2220-2.995 Board Approved Pilot and Research Projects
This rule establishes application requirements and criteria for pilot projects authorized by section 338.143, RSMo.

PUBLIC COST:  This emergency rule will not cost state agencies more than five hundred dollars ($500) in the time the emergency is effective. 

PRIVATE COST:  This emergency rule will cost private entities three thousand thirty-two dollars ($3,032) in the time the emergency is effective.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration - Pharmacy

PROPOSED AMENDMENT-

20 CSR 2263-2.032 Registration of Supervised Social Work Experience
This amendment clarifies the ability for the committee to discipline supervisors.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-2.082 Continuing Education
This amendment adds the new requirement for suicide prevention training and clarifies continuing education requirements on correspondence courses.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-3.010 Scope of Coverage and Organization
This amendment updates terminology from “member(s) of the profession” to “licensee(s)”.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-3.020 Moral Standards
This amendment updates terminology from “member(s) of the profession” to “licensee(s)”.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-3.040 Client Relationships
This amendment updates terminology from “member(s) of the profession” to “licensee(s)”.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-3.060 Relationships with Colleagues
This amendment updates terminology from “member(s) of the profession” to “licensee(s)”.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-3.080 Public Statements/Fees
This amendment updates terminology from “member(s) of the profession” to “licensee(s)”.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-3.100 Confidentiality
This amendment updates terminology from “member(s) of the profession” to “licensee(s)”.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-3.120 Research on Human Subjects
This amendment updates terminology from “member(s) of the profession” to “licensee(s)”.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED AMENDMENT-

20 CSR 2263-3.140 Competence
This amendment updates terminology from “member(s) of the profession” to “licensee(s)”.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Social Workers

PROPOSED RESCISSION

20 CSR 2197-1.010 Definitions
This rule is being rescinded and will be promulgated as amended language into other applicable board rules directly related to the definition.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-1.020 Titling
This rule is being rescinded because the statute defines a massage therapist in section 324.240(6), RSMo.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-1.030 Name and Address Changes for Individuals
The rule is being rescinded and will be promulgated as amended language into other applicable board rules.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2197-2.010 Application for Licensure
This amendment clarifies language on background checks, distance education, and applying for licensure and rescinds grandfathering provisions.

PUBLIC COST: This proposed amendment will increase revenue for state agencies eight hundred twenty-eight dollars ($828) annually for the life of the rule.  It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

PRIVATE COST: This proposed amendment will save private entities approximately eight hundred forty-eight dollars ($848) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-2.020 Reciprocity
This rule is being rescinded and will be promulgated as amended language into the board rule regarding application for licensure.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2197-2.030 Provisional License
This amendment clarifies the requirements for a provisional license.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2197-2.040 Students/Student License
This amendment clarifies the requirements for a student license.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2197-2.050 License Renewal & Name and Address Changes
This amendment clarifies language on reinstating a license and adds language on name and address changes.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-3.005 Definitions
This rule is being rescinded because the statute defines a massage therapist in section 324.240(6,) RSMo, and the remaining definitions are not required.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2197-3.010 Standards of Practice
This amendment clarifies standards of practice.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2197-4.030 Apprenticeship Training Program
This amendment clarifies the apprentice training requirements and application process.

PUBLIC COST: This proposed amendment will increase revenue for state agencies seven hundred three dollars ($703) annually for the life of the rule.  It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

PRIVATE COST: This proposed amendment will cost private entities approximately seven hundred twenty-three dollars ($723) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-4.040 Apprenticeship Training Documentation
The rule is being rescinded to consolidate with 20 CSR 2197-4.030.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-5.010 Massage Therapy Business—Survey Inspections
The rule is being rescinded and readopted to clarify the requirements to operate a massage therapy business.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RULE

20 CSR 2197-5.010 Massage Therapy Business—Survey Inspections
This rule specifies the requirements to operate a massage therapy business.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2197-5.020 Issuance [of an Original], Renewal, and Changes to a Business License
This amendment provides the requirements on obtaining a massage therapy business license, changing a location or management of a massage therapy business and renewing a massage therapy business license.

PUBLIC COST: This proposed amendment will increase revenue for state agencies one hundred fifty thousand three hundred fifty-three dollars ($150,353) annually for the life of the rule.  It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

PRIVATE COST: This proposed amendment will cost private entities one hundred fifty thousand three hundred fifty-three dollars ($150,353) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-5.030 Massage Therapy Business—Change of Name, Ownership or Location
The rule is being rescinded because the statute defines the procedure for the change of a name, ownership, or location of a business pursuant to section 324.252, RSMo.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-5.040 Massage Therapy Business License Renewal
The rule is being rescinded because the statute defines the procedure for renewing a license pursuant to sections 324.250 and 324.255, RSMo.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2197-6.010 Public Complaint Handling and Disposition Procedure
This amendment clarifies the complaint procedure.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED RESCISSION

20 CSR 2197-6.020 Investigation
This rule is being rescinded because the language is not necessary.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rescission does not have an adverse impact on small businesses. Professional Registration - Therapeutic Massage

PROPOSED AMENDMENT-

20 CSR 2010-5.070 Peer Review Standards
The amendment clarifies the rule, removes outdated and unnecessary language and provides updates related to professional standards.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-5.080 Firms Subject to Peer Review Requirements
This amendment removes outdated and unnecessary language and provides clarification on what information the Board may obtain regarding a firm’s enrollment and participation in the peer review program.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-5.090 Peer Review Requirements
This amendment removes outdated and unnecessary language.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-5.100 Administration
This amendment clarifies the requirements for the administration of the peer review process.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-5.110 Oversight
This amendments removes outdated and unnecessary language and provides updates related to professional standards.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2205-5.010 Continuing Competency Requirements
This amendment further clarifies continuing competency requirements and earning continuing competency credits.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration – Occupational Therapy

PROPOSED AMENDMENT-

20 CSR 2230-2.023 Infection Control
This rule is being amended to reduce unnecessary regulatory restrictions.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration – Podiatry

PROPOSED AMENDMENT-

20 CSR 2230-2.030 Biennial License Renewal
This proposed amendment restructures the existing regulation to provide additional clarity to licensees.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration – Podiatry

PROPOSED AMENDMENT-

20 CSR 2270-4.050 Minimum Standards for Continuing Education for Veterinary Technicians
This amendment clarifies the requirements for continuing education.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration – Veterinary

PROPOSED AMENDMENT-

20 CSR 2270-5.011 Permit Applications
This amendment clarifies the responsibilities of the veterinarian in charge.

PUBLIC ENTITY COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE ENTITY COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small business. Professional Registration – Veterinary
20 CSR 10-4.500 National Response Task Group This rule is being rescinded because it is not necessary to empower or enable to respond quickly and effectively in the event of a natural or other disaster.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Insurance
20 CSR 10-4.400 Media Relations Task Group This rule is being rescinded because it is not necessary to empower or enable to respond quickly and effectively in the event of a natural or other disaster.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Insurance
20 CSR 10-4.300 Consumer Information Hotline Task Group

This rule is being rescinded because it is not necessary to empower or enable to respond quickly and effectively in the event of a natural or other disaster.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register This proposed rescission does not have an adverse impact on small business. Insurance
20 CSR 10-4.200 Command Post Task Group

This rule is being rescinded because it is not necessary to empower or enable to respond quickly and effectively in the event of a natural or other disaster.

This proposed amendment clarifies and modernizes the rule by updating statutory references, simplifying filing procedures, and utilizing modern technology. The proposed amendment also clarifies whether the data submitted is an open or closed record.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register This proposed rescission does not have an adverse impact on small business. Insurance
20 CSR 10-4.100 Disaster Planning Standing Committee

This rule is being rescinded because it is not necessary to empower or enable the director to respond quickly and effectively in the event in the event of a natural or other disaster.

PUBLIC COST: This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Insurance

PROPOSED AMENDMENT -

20 CSR 2145-2.020 Educational Requirements

This amendment clarifies the mentorship program.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Interpreters

PROPOSED RULE -

20 CSR 2220-2.990 Rx Cares For Missouri Program

This rule establishes the Missouri Board of Pharmacy’s medication disposal program as part of the Rx Cares for Missouri program created by section 338.710, RSMo and establishes standards/criteria for Program operation and participation.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions up to three hundred fifty thousand dollars ($350,000) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Pharmacy

EMERGENCY RULE -

20 CSR 2220-2.990 Rx Cares For Missouri Program

This rule establishes the Missouri Board of Pharmacy’s medication disposal program as part of the Rx Cares for Missouri program created by section 338.710, RSMo and establishes standards/criteria for Program operation and participation.

Not applicable to emergency rule.

Link to Missouri Register Not applicable to emergency rule. Professional Registration - Pharmacy

PROPOSED AMENDMENT -

20 CSR 2145-2.020 Educational Requirements

This amendment clarifies the educational requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Geology

PROPOSED AMENDMENT -

20 CSR 2145-2.040 Examination

This amendment clarifies the examination requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Geology

PROPOSED AMENDMENT -

20 CSR 2145-2.100 Registered Geologist’s Seal

This amendment changes the seal requirements.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Geology

PROPOSED AMENDMENT -

20 CSR 2030-5.080 Standards for Licensure—Professional Engineers

This is being amended to allow applicants to take the engineering examination while gaining their four years of experience and to further clarify that a degree in engineering technology does not meet the educational requirements for licensure as a professional engineer.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - APEPLSPLA

PROPOSED AMENDMENT -

20 CSR 2030-5.110 Standards for Admission to Examination—Professional Land Surveyors

This rule is being amended to allow up to one (1) year (twelve (12) months) of experience while in the military which does not have to be completed under the immediate personal supervision of a professional land surveyor.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - APEPLSPLA

PROPOSED AMENDMENT -

20 CSR 2200-4.020 Requirements for Licensure

This amendment clarifies the requirements for the English proficiency exam.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Nursing

PROPOSED AMENDMENT -

20 CSR 2245-1.010 General Organization

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-3.005 Trainee Real Estate Appraiser Registration

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-3.010 Applications for Certification and Licensure

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-6.040 Case Study Courses

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-8.010 Requirements

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2245-8.030 Instructor Approval

This amendment changes the version of the Uniform Standards of Professional Appraisal Practice (USPAP) that real estate appraisers are required to adhere to pursuant to section 339.535, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Appraisers

PROPOSED AMENDMENT -

20 CSR 2120-1.010 General Organization

This amendment updates reference to a licensure examination requirement that is no longer applicable, to include professions now licensed by the board, and updates board contact information.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT -

20 CSR 2120-2.080 Written Statement of Charges

This amendment is to make updates to requirements of consumer disclosures.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2120-2.090 Preparation Rooms/Embalming Room

This amendment modifies the current rule’s requirements governing the standards required of funeral establishment preparation rooms.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2120-2.120 Public Records

The purpose of the amendment is to modify the existing language to include additional records that are closed records of the board.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2120-2.130 Final Disposition as Defined in Chapter 193

The purpose of the amendment is to modify the existing language to facilitate an additional section of statute.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2120-3.030 Notification of Intent to Sell Assets or Cease Doing Business (Seller or Provider)

The purpose of the amendment is to outline the procedures for ceasing licenses of preneed sellers and preneed providers as provided in sections 436.400 to 436.525, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Embalmers

PROPOSED AMENDMENT-

20 CSR 2010-4.010 Effective Dates and Basic Requirements.

This amendment updates the continuing professional education requirements and adds a grace period.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.020 Qualifying Programs

This amendment clarifies qualifying requirements a Continuing Professional Education (CPE) course needs to meet to be accepted by the board.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.031 Continuing Professional Education (CPE) Documentation.

This amendment clarifies the requirements for documenting CPE and adds a thirty (30) day grace period.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.035 Inactive Licenses.

This amendment updates the requirements and restrictions for an inactive license.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2010-4.041 Continuing Professional Education (CPE) Exceptions and Waivers

This amendment clarifies the exceptions and waivers of CPE.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small business. Professional Registration - Accountancy

PROPOSED AMENDMENT-

20 CSR 2233-1.040 Fees

This amendment reduces the biennial renewal fee.

PUBLIC COST: This proposed amendment will cost state agencies approximately seventeen thousand two hundred fifty dollars ($17,250) biennially for the life of the rule.  It is anticipated that the costs will recur for the life of the rule, may vary with inflation and are expected to increase at the rate projected by the Legislative Oversight Committee.

PRIVATE COST: This proposed amendment will save private entities approximately seventeen thousand two hundred fifty dollars ($17,250) biennially for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Pharmacy

PROPOSED AMENDMENT-

20 CSR 2220-2.500 Nuclear Pharmacy—Minimum Standards for Operation

The board is amending all sections of the current rule to update, modernize and clarify rule requirements.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST: This proposed amendment will cost private entities approximately two hundred twenty-five thousand dollars ($225,000) annually for the life of the rule. It is anticipated that the costs will recur for the life of the rule, may vary with inflation, and are expected to increase at the rate projected by the Legislative Oversight Committee.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - Pharmacy

PROPOSED AMENDMENT-

20 CSR 2030-4.090 Evaluation—Comity Applications—Professional Landscape Architects

This amendment clarifies the requirements for application.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - APEPLSPLA

PROPOSED AMENDMENT-

20 CSR 2030-5.105 Reexaminations—Professional Engineers

The professional engineering exam is being transitioned to computer based testing; therefore, this rule is being amended to accommodate the policy for that transition.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - APEPLSPLA

PROPOSED AMENDMENT-

20 CSR 2030-5.150 Standards for Admission to Examination—Professional Landscape Architects

This rule is being amended to add the word Professional in front of Landscape Architects in the title.  It is also being amended to allow applicants to take the examination while obtaining their experience and also to provide applicants admission to the examination if they have either a degree in landscape architecture from an accredited school of landscape architecture or a degree deemed equivalent.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - APEPLSPLA

PROPOSED AMENDMENT-

20 CSR 2030-10.010 Application for Certificate of Authority

The rule is being amended to clarify that the managing agent to whom responsibility for the conduct of the corporation's licensed activities is assigned must be licensed in the same profession for which the Certificate of Authority is issued. This is compelled both by the requirements of section 327.401, RSMo, and by the prohibitions on unlicensed practice in Chapter 327, RSMo, which prohibit a person licensed in one profession from supervising or engaging in activities of another profession, except to the extent such activities are incidental to the practice of the licensee's own profession.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed amendment does not have an adverse impact on small businesses. Professional Registration - APEPLSPLA
20 CSR 2220-2.120 Transfer of Prescription or Medication Order Information [for the Purpose of Refill]

The title of this rule and sections (1)–(3) are being amended to remove unnecessary/duplicate rule language pursuant to Executive Order 17-03 and to clarify the requirements for transfers of original and refill prescriptions.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration - Pharmacy
20 CSR 2220-3.011 Generic Drug [Formulary] Substitution

This rule is being amended pursuant to Executive Order 17-03 to remove unnecessary/duplicate rule language.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration - Pharmacy
20 CSR 2270-4.031 Minimum Standards for Practice Techniques

This board is amending section (3) of this rule by adding subsection (H) to delineate requirements for compounding medication for office use/administration by a Missouri licensed veterinarian for animal patients.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration - Veterinary
20 CSR 2270-4.031 Minimum Standards for Practice Techniques

This board is amending section (3) of this rule by adding subsection (H) to delineate requirements for compounding medication for office use/administration by a Missouri licensed veterinarian for animal patients.

Not applicable to emergency rule.

Link to Missouri Register Not applicable to emergency rule. Professional Registration - Veterinary
20 CSR 2220-2.400 Compounding Standards of Practice

This amendment changes sections (7), (12) and (14) of this rule and adds section (13) to delineate requirements for compounding medication for office use/administration by a Missouri licensed veterinarian for animal patients.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
Link to Missouri Register This proposed rule does not have an adverse impact on small businesses. Professional Registration - Pharmacy
20 CSR 2220-2.400 Compounding Standards of Practice

This board is amending sections (12) and (14) of this rule and adding section (13) to delineate requirements for compounding medication for office use/administration by a Missouri licensed veterinarian for animal patients.

Not applicable to emergency rule.

Link to Missouri Register Not applicable to emergency rule. Professional Registration - Pharmacy

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